TY  - JOUR
PY  - 2006//
TI  - Piloting post-exposure prophylaxis in Kenya raises specific concerns for the management of childhood rape
JO  - Transactions of the Royal Society of Tropical Medicine and Hygiene
A1  - Speight, C. G.
A1  - Klufio, A.
A1  - Kilonzo, S. N.
A1  - Mbugua, C.
A1  - Kuria, E.
A1  - Bunn, J. E.
A1  - Taegtmeyer, Miriam
SP  - 14
EP  - 18
VL  - 100
IS  - 1
N2  - Thika District, Kenya, is the site of an operational research study on the provision of comprehensive post-rape care, including the free provision of HIV post-exposure prophylaxis (PEP). It is a typical rural Kenyan district in terms of resources and patient throughput. The high rate of children attending for post-rape services was unexpected and had significant programming implications. An age-disaggregated analysis of existing quantitative data from the first 8 months of service provision was conducted. Ninety-four case records were reviewed, of whom 48 (51%) were in the age range 1.5-17 years inclusive. All three cases of male rape were in children. Children were more likely to know their assailant than adults and were more likely to be HIV-negative at baseline. The majority (86%) of children presented in time for PEP, with adherence and completion rates similar to adults but lower rates of 6-week follow-up. The use of weight bands to determine drug dosages greatly simplified the appropriate and early administration of paediatric PEP. The high rates of childhood rape and demand for post-rape services were an enormous challenge for service providers and policy-makers.<p />  <p>Language: en</p>
LA  - en
SN  - 0035-9203
UR  - http://dx.doi.org/10.1016/j.trstmh.2005.06.026
ID  - ref1
ER  -